All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review

Black, Holly A.; Whalen, D. Joel; Alani, Sabrina; Rogers, Peter; MacLean, Cathy

doi:10.1017/cem.2017.51

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…24 Differences in the way patients are stratified by age and the age range of patients included in the study affect the estimation of the age group most affected by OHV injuries; however, most studies agree that the highest injury incidence stays between the 10-to 20-year-old age group. 12,14,25 Notably, 8.5% of our patients were 6 years old or younger, which is similar to other studies focusing on pediatric patients consulting to Level I trauma centers, with the percentage of injured patients aged 6 years or younger ranging from 5% to 11%. 21,26,27 The impact of age on accident severity showed that children 6 and younger have lower PTS scores which are related to higher mortality.…”

Section: Discussionsupporting

confidence: 88%

“…Similar to the US trends demonstrated by a study using the National Electronic Injury Surveillance System database, the 14- to 17-year-old age group is 2.8 times more likely to suffer an ATV injury among both children and adults 24 . Differences in the way patients are stratified by age and the age range of patients included in the study affect the estimation of the age group most affected by OHV injuries; however, most studies agree that the highest injury incidence stays between the 10- to 20-year-old age group 12,14,25 . Notably, 8.5% of our patients were 6 years old or younger, which is similar to other studies focusing on pediatric patients consulting to Level I trauma centers, with the percentage of injured patients aged 6 years or younger ranging from 5% to 11% 21,26,27 …”

Section: Discussionsupporting

confidence: 84%

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Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Fonseca¹,

Guerrero²,

Leiner³

et al. 2022

Southern Medical Journal

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Objectives: The purpose was to evaluate the characteristics of off-highway vehicle (OHV) crashes correlated with neurological injury and accident severity in the pediatric population in El Paso, Texas.Methods: A retrospective review of 213 patients who were victims of an OHV crash attended at a regional Level I trauma center from 2012 to 2020 was performed. OHVs were defined as vehicles designated for use outside public roads. Neurological outcomes included any traumatic brain injury (TBI) or a brain hemorrhage/hematoma. Severe injury was defined as a Glasgow Coma Scale less than 8, a length of stay longer than 7 days, a Pediatric Trauma Score lower than 8, and requiring pediatric intensive care unit admission. Bivariate and multivariate analyses by logistic regression models were conducted to determine the factors related to the neurological outcomes and accident severity.Results: Of 213 OHV crash patients, 104 (48.8%) had TBI and 22 (10.3%) had brain hemorrhages or hematomas. Risk analyses demonstrated that children younger than age 6 years and occupants of recreational OHVs have a significantly higher risk of severe injuries. Off-highway motorcycles and all-terrain vehicles were risk factors for TBI, whereas helmets were a protective factor.Conclusions: OHVs are associated with both TBIs and severe injuries. Stricter laws requiring helmets and forbidding children younger than 6 to ride are required, as modifying these factors could reduce the incidence of OHV crashes and their complications.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 84%

Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Fonseca¹,

Guerrero²,

Leiner³

et al. 2022

Southern Medical Journal

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“…We found that helmet use among ORV crashes was just under 50% and that alcohol use decreased the likelihood of helmet use. A study from Newfoundland and Labrador reported similar results in their local study population [20].…”

Section: Comparison To Previous Studiessupporting

confidence: 52%

Alcohol is a risk factor for helmet non-use and fatalities in off-road vehicle and motorcycle crashes

Kureshi,

Walling,

Erdogan

et al. 2024

Preprint

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Objectives: Off-road vehicle (ORV) and motorcycle use is common in Canada; however, risk of serious injury is heightened when these vehicles are operated without helmets and under the influence of alcohol. This study evaluated the impact of alcohol intoxication on helmet non-use and mortality among ORV and motorcycle crashes. Methods: Using data collected from the Nova Scotia Trauma Registry, a retrospective analysis (2002-2018) of ORV and motorcycle crashes resulting in major traumatic brain injury was performed. Patients were grouped by blood alcohol concentration (BAC) as negative (<2 mmol/L), legally intoxicated (2-17.3 mmol/L) or criminally intoxicated (>17.3 mmol/L). Logistic regression models were constructed to test for helmet non-use and mortality. Results: A total of 424 trauma patients were included in the analysis (220 ORV, 204 motorcycle). Less than half (45%) of patients involved in ORV crashes were wearing helmets and 65% were criminally intoxicated. Most patients involved in motorcycle crashes were helmeted at time of injury (88.7%) and 18% were criminally intoxicated. Those with criminal levels of intoxication had 3.7 times the odds of being unhelmeted and were 3 times more likely to die prehospital compared to BAC negative patients. There were significantly increased odds of in-hospital mortality among those with both legal (OR = 5.63), and criminal intoxication levels (OR = 4.97) compared to patients who were BAC negative. Conclusion: Alcohol intoxication is more frequently observed in ORV versus motorcycle crashes. Criminal intoxication is associated with helmet non-use. Any level of intoxication is a predictor of increased in-hospital mortality.

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“…12 Previous studies have described poor rates of helmet use in ATV-related events, with one study suggesting only a 48.7% rate of usage in pediatric ATV accidents. 5 Additionally, ATV accidents mapped in the state of Iowa revealed that helmet use in the rural setting was statistically lower than in the urban setting. 9 Our study reaffirms the utility of helmets and the continued need for its promotion among this unique patient population.…”

Section: Discussionmentioning

confidence: 99%

“…3 While some policy suggestions made by the AAP have prompted changes in state legislation, their effects on limiting morbidity have been unclear. Data from Nova Scotia, 4 Newfoundland and Labrador, 5 Canada have suggested that legislation may be was ineffective in decreasing ATV-related injury. Additionally, cost analysis data reported by Strohecker et al suggest that the use of helmets, advocated by the AAP, only slightly shortened hospital length of stay.…”

Section: Introductionmentioning

confidence: 99%

Risk Factors and Outcomes From All-Terrain Vehicle Injuries Compared With Motor Vehicle Collisions in Children

Ramgopal

Cramer

Gaines

et al. 2019

Clin Pediatr (Phila)

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We compared risk factors and outcomes of children injured from all-terrain vehicle (ATV) injuries to those injured from motor vehicle collisions (MVC). We reviewed records of patients ≤18 years of age admitted to a trauma center with ATV- or MVC-related injuries between January 1, 2000, and December 31, 2015. Demographics were compared using logistic regression. Rates of injuries were compared using χ2 tests. Of 6293 patients, 1140 (18%) ATV and 5153 (82%) MVC events were identified. In multivariable analysis (adjusted odds ratio [aOR], 95% confidence interval [CI]), patients with ATV-related injuries occurred more at older age (≥12 years; aOR = 4.29, 95% CI = 3.20-5.77), in rural counties (aOR = 3.72, 95% CI = 2.62-5.28), in regions with lower median household income (aOR = 1.37, 95% CI = 1.03-1.83), and in the spring (aOR = 2.44, 95% CI = 1.87-3.18), and summer (aOR = 2.50, 95% CI = 1.93-3.25) compared with winter. ATV-related injuries occurred less frequently among females (aOR = 0.76, 95% CI = 0.65-0.89). Upper extremity injuries were associated with ATV-related injuries ( P ≤ .001). Findings may facilitate identification of at-risk groups for targeted interventions.

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All-terrain vehicle–related injuries and deaths in Newfoundland and Labrador between 2003 and 2013: a retrospective trauma registry review

Abstract: This study describes ATV related injuries and deaths in NL. Information from this study may guide physician practice, public education, and future legislation.

Cited by 4 publications

References 28 publications

Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Factors Affecting Neurological Presentation and Severity in Pediatric Off-Highway Vehicle Accidents in Texas

Alcohol is a risk factor for helmet non-use and fatalities in off-road vehicle and motorcycle crashes

Risk Factors and Outcomes From All-Terrain Vehicle Injuries Compared With Motor Vehicle Collisions in Children

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